| NPI | 1386224582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: LA 348548) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0008526) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: IL 125.085056) | |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2025-11-21 |